Comparison of Substance Use Typologies as Predictors of Sexual Risk Outcomes in African American Adolescent Females.
Comparison of Substance Use Typologies as Predictors of Sexual Risk Outcomes in African American Adolescent Females.
复制标题
作为非裔美国青少年女性性风险结果预测因子的物质使用类型的比较。
DOI：
10.1007/s10508-015-0518-0
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发表时间：
2016
影响因子：
3.8
通讯作者：
Rose,EveS
中科院分区：
文献类型：
--
作者：
Swartzendruber,Andrea;Sales,JessicaM;Brown,JenniferL;DiClemente,RalphJ;Rose,EveS
非裔美国女性青少年有不成比例的性传播感染（STI）和其他不良性健康结果的风险。酒精和大麻的使用都被证明可以预测年轻非洲裔美国妇女的性风险。然而，没有研究试图区分酒精和大麻类型学使用作为性风险结果的预测专门在青少年谁使用这些物质。这项研究比较了182名非洲裔美国女性青少年最近使用酒精和/或大麻作为18个月以上性风险结果的预测因素。非裔美国女性（14-20岁）在基线、6个月、12个月和18个月时完成了访谈。在每次评估时，进行妊娠试验，并使用DNA扩增法对自己收集的阴道拭子标本进行阴道毛滴虫、沙眼衣原体和淋病奈瑟菌检测。Logistic受试者特异性随机截距模型比较了在基线评估时报告最近仅使用酒精（AO），大麻（MO）或两种物质（A + M）的青少年在随访期间的性风险结果。相对于基线AO使用，基线MO使用预测最后一次性行为时未使用避孕套。相对于AO使用，A + M使用可预测妊娠。相对于MO使用，A + M使用可预测妊娠和T的获得。阴道炎和性病结果表明，使用A + M的非裔美国女性青少年可能是STI，HIV和妊娠预防工作的优先人群。
African American female adolescents have a disproportionate risk of sexually transmitted infections (STIs) and other adverse sexual health outcomes. Both alcohol and marijuana use have been shown to predict sexual risk among young African American women. However, no studies have attempted to differentiate alcohol and marijuana typologies use as predictors of sexual risk outcomes exclusively among adolescents who use these substances. This study compared recent alcohol and/or marijuana use as predictors of sexual risk outcomes over 18 months among 182 African American female adolescents. African American females (14–20 years) completed interviews at baseline, 6-, 12-, and 18-months. At each assessment, pregnancy testing was conducted and self-collected vaginal swab specimens were assayed forTrichomonas vaginalis,Chlamydia trachomatis, andNeisseria gonorrhoeaeusing DNA amplification. Logistic subject-specific random-intercept models compared sexual risk outcomes during follow-up among adolescents who reported recent use of alcohol only (AO), marijuana only (MO) or both substances (A + M) at the baseline assessment. Relative to baseline AO use, baseline MO use predicted condom non-use at last sex. Relative to AO use, A + M use predicted pregnancy. Relative to MO use, A + M use predicted pregnancy and acquisition ofT. vaginalisand any STI. The results suggest that African American female adolescents who use A + M may represent a priority population for STI, HIV, and pregnancy prevention efforts.